Individual provider Active NPI

John Doole, PHARM D

  • Pharmacist
  • Quincy, MA
National Provider Identifier
1609387950
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24806 Issued in MA
Practice address
1200 Hancock St
Quincy, MA 02169-4318
Phone
(508) 654-7346
NPI assigned
Oct 13, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Art Specialist/Technologist 246ZA2600X
Health Information Specialist/Technologist 246Y00000X
Pharmacist 183500000X 24806 MA Primary

Addresses

Primary practice location

1200 Hancock St
Quincy, MA 02169-4318

Mailing address

32 Walden Dr Apt 14
Natick, MA 01760-3890
Phone (508) 654-7346

Other practice location 1

32 Walden Dr Apt 14
Natick, MA 01760-3890
Phone (508) 654-7346

Other identifiers 1

IdentifierTypeStateIssuer
24806OtherMAMASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
24806MAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609387950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WALDEN DR APT 14",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603890",
            "telephone_number": "508-654-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694318",
            "telephone_number": "508-654-7346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Walden Dr Apt 14",
            "address_purpose": "LOCATION",
            "city": "Natick",
            "state": "MA",
            "postal_code": "017603890",
            "country_code": "US",
            "telephone_number": "508-654-7346",
            "fax_number": "508-654-7346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOOLE",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZA2600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246Y00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "24806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "24806",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.